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Rural hospitals across the country are in a difficult spot right now. COVID-19 is hitting them harder than many metropolitan hospitals as they deal with issues of lower staffing.According to the National Center for Biotechnology Information, about 20% of our nation’s population lives in rural areas, yet less than 9% of our nation’s physicians practice there.Add on the fact that according to CDC data, COVID is killing rural Americans at a rate 3.5 times higher than those living in metropolitan areas, and this issue is affecting staff and patient care.“I’m very worried about rural health care because rural health care is teetering on the brink right now,” said Dr. Kurt Papenfus, an ER doctor at Keefe Memorial Hospital in rural Cheyenne Wells, Colorado. “There’s a darkness in this illness that I can’t say I’ve said about any other illness.In late October, Dr. Papenfus contracted COVID-19 as he was traveling back from the Northeast to visit his daughter.“I was very cognizant and was wearing a mask at all times, social distancing, and washing my hands,” Papenfus said. “But I remember having this thought on the train that this is a super-spreader event.”When he got home, Papenfus got tested and was confirmed positive for COVID-19. The diagnosis put Keefe Memorial in a tailspin as he served as the only ER doctor in the small 25-bed hospital.“We are a trauma level four hospital so keeping that physician on staff 24/7 is what we are required to do,” said Stella Worley, Keefe Memorial’s CEO. “And it is getting to be more of a challenge to have hired physicians out here in rural [America].”Within minutes of learning of Dr. Papenfus’ COVID-positive diagnosis, Worley was on the phone with several different hospitals working to find a replacement. Within a few hours, they had settled on a former ER doctor who moved to another hospital in Texas a few months prior.After she agreed, Keefe Memorial paid the doctor to drive 10 hours from Texas to Colorado and fill in immediately as Papenfus recovered at home for the next two weeks.“Worst-case scenario is you would have to divert patients if there’s no one in the door to care,” said Worley.Populations in rural America tend to be older, poorer, and less insured than the nation at large, according to the National Conference of State Legislatures.Since 2010, hospital closures in rural America have been growing as there have been 118, including 17 last year.The closures only exacerbate a growing lack of health care coverage in rural America, said Dr. Dan Derksen, a rural health care expert and family physician“Once a critical access hospital (25 beds with a 24/7 emergency department and at least 35 miles from another facility) closes, they almost never come back,” he said. 2756

SACRAMENTO, Calif. (AP) — California will ban the sale and manufacture of new fur products starting in 2023.Legislation signed Saturday by Gov. Gavin Newsom makes California the first state to enact such a ban.It doesn't apply to used fur products or fur used for religious or tribal purposes. And it excludes the sale of leather, cowhides, deer, sheep and goat skin and anything preserved through taxidermy.There's a fine of up to ,000 for multiple violations.Democratic Assemblywoman Laura Friedman, the bill's author, says there are "sustainable and humane" substitutes for fur.Opponents of the legislation have said it could create a black market and be a slippery slope to bans on other products. 711

RICHMOND, Va. -- Markeisha Harris-Minor is a young entrepreneur who has always considered herself to be a resource to people. And she has always wanted to do it, as she says, on a macro level.So, last December, she came up with an idea for a new app she calls Blocal Search.What is it?“This is a nationwide directory and app for locating Black-owned businesses all across the country," Harris-Minor, CEO of Blocal Search, said.Harris-Minor said she was constantly seeing the Black dollar recycle in front of her eyes. That’s why she said it was important for her to find an avenue that would allow the money to stay in local neighborhoods, especially in a moment in time where a demand to support Black businesses is on the rise.“Because we all know that buying Black right now, it’s something that’s important. It may look more trendy or what have you, but I want to make sure I’m pushing it to be a lifestyle, so just kind of changing that focus and perspective, like why am I really buying Black?” she said.Ajay Brewer, owner of Brewer’s Café on the city’s south side, added his business to Blocal Search this year.“I’ve had several people tell me that they’ve found me through Blocal, so any sort of search engine that creates that sort of awareness for us is really priceless. It’s created revenue for Brewer’s Café for sure," Brewer said.Harris-Minor said she has over 150 local businesses -- like restaurants, juice bars, beauty supplies, family dentistry, and more -- in the app.The number is even higher nationwide. Blocal has promoted about 4,000 companies across 160 cities since the app launched in February.“Blocal at minimum is going to be a directory, but this is going to be a brand that I’m building to really make sure that we’re able to have a sustainable community that we’ve had in the past and be able to create the generational wealth that we all are looking for our families,” she said.Blocal Search is available to download on your phone by going to your App Store or on Google Play. You can also get more information here.This story was originally published by Rob Desir at WTVR. 2113

SACRAMENTO, Calif. (AP) — California utilities again are facing severe financial pressures from the possibility that their equipment sparked catastrophic wildfires, including two that are now burning at either end of the state.The pressure comes even though Gov. Jerry Brown signed legislation in September giving utilities some relief beginning next year.The law made it easier for utilities to pass along costs from fire-related damages to consumers and also avoid possible bankruptcy from a series of major fires that occurred during the 2017 fire season that produced more than billion in losses.But there was a gap in the law: No damages specific to 2018 were included, so utilities face a higher bar to bill customers to cover those costs. And this year already supplanted 2017 as the most destructive in California's recorded history.Authorities have not determined a cause for either of two major blazes burning now, but Pacific Gas & Electric Co. and Southern California Edison have reported irregularities with their equipment near the time and place where both ignited.A woman who owns land near the site where a deadly wildfire started in Northern California said Monday that Pacific Gas & Electric Co. sought access to her property just before the blaze started because the utility's power lines were causing sparks.PG&E shares have lost more than a third of their value since the Camp Fire broke out northeast of San Francisco, destroying thousands of homes and killing dozens of people as it leveled the town of Paradise.Moody's Investors Service said Monday that the "shortcomings" in the legislation reflect negatively on PG&E's credit rating, which is barely investment grade."Moody's negative outlook incorporates the view that additional financial stress for PG&E is likely," Moody's spokesman Joe Mielenhausen said in an email. "Going forward, we will look for signs of additional legislative and regulatory support for the utility as it works through various legal processes."Last week PG&E told state regulators that it detected a problem on an electrical transmission line near the site of the blaze minutes before the fire broke out. The utility later said it observed damage to a transmission tower on the line, and a PG&E spokeswoman said the company will cooperate with any investigations.Betsy Ann Cowley, a property owner near the site said PG&E sought access to the area before the fire started, telling her power lines were sparking.Southern California Edison told regulators there was an outage on an electrical circuit near the site where the Woolsey Fire started in Ventura County. It quickly spread into Malibu and destroyed hundreds of homes.SoCal Edison said the report was submitted out of an abundance of caution and there was no indication from fire officials that its equipment may have been involved. The report said the fire was reported around 2:24 p.m. Thursday, two minutes after the outage.Shares of parent company Edison International have tumbled more than 20 percent since the fire started.California is one of just two states that hold electric companies entirely liable for damage caused by their equipment, even if they followed all safety precautions. The new law makes it easier for them to pass some of those costs along to consumers.Utilities lobbied aggressively to eliminate that strict liability standard but lawmakers dropped the idea amid pressure from insurers, trial lawyers and fire victims.Instead, legislators passed a law making it easier for utilities to manage the costs without going bankrupt. They created two mechanisms for investor-owned utilities to shift the costs of wildfire lawsuits onto their customers— one process that begins in 2019, and another for the 2017 fires.For reasons that remain unclear, the law left the rules unchanged for 2018."The priority was on addressing 2017 victims and putting in place some fire-safety measures," said Paul Payne, a spokesman for Sen. Bill Dodd, a Napa Democrat and the bill's author. "The focus was on making 2017 victims whole."It's too soon to say whether the Legislature will take up another fight over the 2018 fires, Payne said.SoCal Edison officials say the Legislature needs to do more to shield utilities from wildfire-related liability."SCE believes the state can do more, including enacting fire-smart building codes, particularly in high fire risk areas, and ensuring the proper allocation of risk for the often-tragic consequences of wildfires," spokeswoman Justina Garcia wrote in an email.A PG&E spokesman, Paul Doherty, did not respond to questions about the legislation, saying "our entire company is focused on supporting first responders."Sen. Jerry Hill, a Redwood City Democrat and longtime critic of PG&E, called the report of troubles on PG&E's lines in the area extremely worrisome."At some point we have to say enough is enough and we have to ask: Should this company be allowed to do business in California?" Hill said. "These fires take a spark, and at least in the last few years fires have been caused by negligent behavior by PG&E. We need to see how we can hold them responsible, or look at alternative way of doing business."Hill said he was exploring legislative options to keep a closer check on PG&E, including the possibility of breaking up the utility."They are a monopoly and they act as a monopoly," Hill said. "That is a problem when the motive is profit, and that just may not be the right motive for providing utility services." 5560

Right after the mass shooting at a Florida high school earlier this year, Dick's Sporting Goods decided to stop selling assault-style weapons at its stores.Now the nation's largest sporting goods retailer is going to destroy those guns."We are in the process of destroying all firearms and accessories that are no longer for sale as a result of our February 28th policy change," the company told CNN."We are destroying the firearms in accordance with federal guidelines and regulations."A company spokesman wouldn't say how the guns would be destroyed.Dick's was one of a number of retailers that made changes to their gun sales policy after the February 14 massacre at Marjory Stonemen High School that killed 17 students and staff.Around the same time, Walmart said it would also raise the age restriction for purchase of firearms and ammunition to 21. It also removed items from its website that resembled assault-style rifles, "including nonlethal airsoft guns and toys."L.L. Bean and Kroger (which sells guns through its Fred Meyer stores) both raised their minimum gun buying age to 21.Dick's CEO Edward Stack said he and other company executives were moved by the Parkland school shooting survivor's push for gun control measures. And he said the company was alarmed after learning that school shooter Nikolas Cruz had bought a gun at Dick's, although not the AR-15-style rifle used in the February 14 massacre."We don't want to be a part of this story any longer," he told CNN's New Day back in February. 1530